Hospital length-of-stay among COVID-19 positive patients
Tze Chao Chiam, Keshab Subedi, David Chen, Eric Best, Federica Bianco, Gregory Dobler, Mia A. Papas, N Zhu, D Zhang, Wang Li, X Yang, B Song, J, S Mallapaty, A Gorbalenya, S Baker, R Baric, R De Groot, C Drosten, A Gulyaeva, S Omer, P Malani, M Del Rio, M Abir, C Nelson, E Chan, H Al-Ibrahim, C Cutter, K Patel, M Alvarez, E Gonzalez-Gonzalez, G Santiago, M Becker, C; Chivers, Chime Announcing, E Rees, E Nightingale, Y Jafari, N Waterlow, S Waterlow, C Pearson, J Librero, S Peir, R Ordiana, V Kaplan, D Angus, M Griffin, G Clermont, R Watson, Linde-Zwirble Wt, M Fine, H Pratt, D Obrosky, J Lave, L Mcintosh, D Singer, B White, P Biddinger, Y Chang, B Grabowski, S Carignan, D Brown, H Quan, V Sundararajan, P Halfon, A Fong, B Burnand, J Luthi, P Hougaard, S Richardson, J Hirsh, M Narashimhan, Z Wang, J Ji, Y Liu, R Liu, Y Zha, X Chang
Abstract
Background and Aim: This study aims to determine COVID-19 patient demographics and comorbidities associated with their hospital length of stay (LOS). Methods: Design: Single-site, retrospective study. Setting: A suburban 700-bed community hospital in Newark, Delaware, USA. Patients: Patients admitted to the hospital from March 11, 2020, to August 11, 2020, with a positive COVID-19 status. We followed a time-to-event analysis approach and used Kaplan-Meir curves and log-rank tests for bivariate analyses, and an accelerated failure time model for a multivariable model of hospital LOS. Results: Six hundred and eighty-seven patients discharged alive (mean [SD] age, 60.94 [18.10] years; 339 men [49.34%]; 307 Black/African-American [44.69%]; and 267 White [38.86%]) were included in the investigation. Bivariate analysis using Kaplan-Meir curves showed that patients' age, sex, ethnicity, insurance type, comorbidity of fluid and electrolyte disorder, hypertension, renal failure, diabetes, coagulopathy, congestive heart failure, peripheral vascular disease, neurological disorder, coronary artery disease, and cardiac arrhythmias to be significantly associated with LOS (P<0.05).